title: [Case of general anesthesia for subtotal thyroidectomy in a pregnant woman with 27th week gestation].
abstract: We report a case of general anesthesia for subtotal thyroidectomy in a pregnant woman with 27th week gestation. A 33-year-old pregnant woman was diagnosed with thyroid carcinoma. We planned subtotal thyroidectomy at 27 weeks of gestation. We gave thiamylal, fentanyl and rocuronium for induction of anesthesia. Tracheal intubation was performed. Anesthesia was maintained with sevoflurane and fentanyl. Because of tachycardia, we tilted the operating table to displace the uterus to the left. We continued monitoring fetal heart rate during the operation. The fetal heart rate remained between 130 and 150 beats x min(-1). The operation was performed with no trouble. She gave birth to a baby at 37th week gestation. We should pay attention to maternal safety, fetal toxicity including teratogenecity, fetal asphyxia and pre-term labor. We could successfully manage her anesthesia using intraoperative fetal heart rate monitoring.
authors.affiliation: Department of Anesthesia, Mitoyo General Hospital, Kanonji 769-1695.
authors.forename: Yuri
authors.initials: Y
authors.lastname: Nagano
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Tokioka
authors.forename: Naoya
authors.initials: N
authors.lastname: Kawanoue
authors.forename: Yuri
authors.initials: Y
authors.lastname: Oishi
authors.forename: Daisuke
authors.initials: D
authors.lastname: Ono
authors.forename: Mizue
authors.initials: M
authors.lastname: Ishii
authors.forename: Etsu
authors.initials: E
authors.lastname: Iwasaki
authors.forename: Yoko
authors.initials: Y
authors.lastname: Watanabe
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Kobayashi
authors.forename: Satoru
authors.initials: S
authors.lastname: Oku
mesh_terms: D000768:Anesthesia, General; D000773:Anesthesia, Obstetrical; D005260:Female; D006340:Heart Rate, Fetal; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D016343:Monitoring, Intraoperative; D011247:Pregnancy; D011248:Pregnancy Complications / Q000601:surgery*; D011262:Pregnancy Trimester, Second; D013964:Thyroid Neoplasms / Q000601:surgery*; D013965:Thyroidectomy